Visits & medical services prices at Santa Rosa Medical Center

Milton, FL · every code in this section with a posted price and a Medicare benchmark.

121 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Aerosol inhalation pentamidine (94642) $54.15 $361 0.2×
Airway inhalation treatment (94640) $115.02 $766.80 0.5×
Canalith repositioning (95992) $47.30 $315.36 1.2×
Car seat/bed testing w/interp & report 60 min (94780) $22.84 $152.28 0.6×
Cardiac stress test (93017) $762.53 $5,083.56 3.4×
Cardiovascular procedure unlisted (93799) $68.04 $453.60 0.5×
Cardioversion elective external (92960) $666.63 $4,444.20 1.0×
Cardioversion elective internal (92961) $1,104.19 $7,361.28 1.6×
Carotid duplex scan; bilat (93880) $1,884.72 $12,564.80 7.6×
Carotid duplex scan; unil/limit (93882) $287.06 $1,913.76 2.6×
Color/duplex Doppler, complete (93975) $512.24 $3,414.96 2.1×
Color/duplex Doppler, limited (93976) $50.91 $339.39 0.5×
Continuous inhalation tx, 1st hr (94644) $44.55 $297 0.3×
Coronary art/grft angio s&i (93455) $1,616.18 $10,774.50 0.5×
Coronary artery angio s&i (93454) $3,236.38 $21,575.88 1.0×
Cpap/bipap daily (94660) $160.06 $1,067.04 0.7×
Cpr (92950) $96.07 $640.44 0.4×
Cpt initial (94667) $36.29 $241.92 0.3×
Cpt subsequent (94668) $78.73 $524.88 0.6×
Critical care first hour (99291) $1,310.26 $8,735.04 1.5×
Delivery/birthing room resuscitation (99465) $262.76 $1,751.76 0.4×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $214.16 $1,427.76 2.0×
Duplex a ivc il/bpg; compl (93978) $71.92 $479.44 0.3×
Duplex ext veins; bilat (93970) $671.17 $4,474.44 2.7×
Duplex le art/bpg; bilat (93925) $660.47 $4,403.16 2.7×
Duplex le art/bpg; unil/limit (93926) $347.65 $2,317.68 3.2×
Duplex ue art/bpg; bilat (93930) $1,065.51 $7,103.41 4.3×
Duplex ue art/bpg; unil/limit (93931) $324.65 $2,164.32 3.0×
Duplex venous ext unilat/lmtd (93971) $349.76 $2,331.72 3.2×
ECG monit/reprt up to 48 hrs (93226) $413.91 $2,759.40 6.7×
ECG up to 48 hrs recording (93225) $186.46 $1,243.08 1.3×
Echo transesophageal (93312) $2,236.18 $14,907.86 3.9×
EEG awake & asleep (95819) $355.91 $2,372.76 1.6×
Eeg,Extended Monitoring,41-60 Minutes - Eeg (95812) $306.34 $2,042.28 1.4×
Elec alys implt npgt cplx sp/pn prgrmg (95972) $19,576.96 $130,513.09 197.2×
Electrocardiogram (93005) $168.80 $1,125.36 2.7×
Emergency department visit high mdm (99285) $918.70 $6,124.68 1.5×
Emergency department visit low mdm (99283) $606.37 $4,042.44 2.1×
Emergency department visit may not req phys/qhp (99281) $196.99 $1,313.28 2.2×
Emergency department visit moderate mdm (99284) $919.03 $6,126.84 2.1×
Emergency department visit straightforward mdm (99282) $401.44 $2,676.24 2.5×
Evaluate pt use of inhaler (94664) $4,340.91 $28,939.41 19.0×
Ext ECG>48hr<7d scan a/r (93243) $8.05 $53.64 0.1×
Ext ECG>7d<15d scan a/r (93247) $186.49 $1,243.25 1.3×
External ECG rec>48hr<7d recording (93242) $8.05 $53.64 0.2×
Flow volume loop (94375) $128.30 $855.36 0.6×
Gait training 15 min (97116) $61.88 $412.56 2.1×
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $200.49 $1,336.60 0.9×
Hemodialysis procedure w/ phys/qhp evaluation (90935) $230.85 $1,539 0.3×
Immunization Admin (90471) $38.39 $255.96 0.5×
Inhlj brncl challenge tstg w/histam/methachol (95070) $240.73 $1,604.88 0.6×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $45.36 $302.40 0.9×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $129.76 $865.08 0.6×
Irrigaj implntd venous access drug delivery syst (96523) $80.51 $536.76 1.3×
IV hydration each add'l hr (96361) $23.65 $157.68 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $69.82 $465.48 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $38.56 $257.04 0.5×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $114.70 $764.64 0.5×
IV tx, each additional hour (96366) $19.60 $130.68 0.4×
L Hrt Art/Grft Angio (93459) $1,782.44 $11,882.98 0.5×
L Hrt Artery/Ventricle Angio (93458) $6,374.21 $42,494.76 1.9×
Lwr xtr vasc stdy bilat (93924) $473.20 $3,154.68 2.1×
Manual therapy ea 15 min (97140) $37.58 $250.56 1.4×
Methacholine challenge (94070) $177.07 $1,180.44 0.5×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $123.28 $821.88 1.3×
Multiple sleep latency test (95805) $660.96 $4,406.42 0.7×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $2,096.66 $13,977.74 4.9×
Negative pressure wound therapy dme </= 50 sq cm (97605) $371.14 $2,474.28 1.8×
Negative pressure wound therapy dme >50 sq cm (97606) $485.68 $3,237.84 1.1×
Non-invasive physiologic study extremity 3 levels (93923) $333.88 $2,225.88 1.5×
Ot group therapy procedures (97150) $28.67 $191.16 1.6×
Ot mechanical traction (97012) $35.96 $239.76 2.5×
Paraffin bath therapy (97018) $22.19 $147.96 3.7×
Peritoneal Dialysis-Outpatient (90945) $255.64 $1,704.24 0.6×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $1,744.48 $11,629.86 1.9×
Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist UNSCHEDULED (95808) $164.82 $1,098.78 0.2×
Prq trluml coronary angio/atherect one art/brnch (92924) $7,951.93 $53,012.88 0.7×
Prq trluml coronary angioplasty one art/branch (92920) $4,286.52 $28,576.80 0.7×
Prq trluml coronary byp grft revasc one vessel (92937) $9,636.41 $64,242.72 0.8×
Prq trluml coronary stent w/angio one art/brnch (92928) $11,613.90 $77,425.98 1.0×
Prq trluml coronry chronic occlus revasc one vsl (92943) $9,636.41 $64,242.72 0.8×
Prq trluml coronry stent/ath/angio one art/brnch (92933) $9,636.41 $64,242.72 0.5×
Pt Debridement Open Wound 20 Sq Cm< (97597) $399.49 $2,663.28 1.9×
Pt Electric Current Therapy (97033) $32.89 $219.24 1.7×
Pt Electrical Stimulation (97032) $2,525.01 $16,833.43 171.8×
Pt eval high complex 45 min (97163) $315.74 $2,104.92 3.2×
Pt eval low complex 20 min (97161) $264.06 $1,760.40 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $56.70 $378 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $300.02 $2,000.16 3.1×
Pt re-eval est plan care (97164) $67.39 $449.28 1.0×
Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) $86.83 $578.88 2.5×
Pulmonary stress testing (94618) $2,299.07 $15,327.12 16.5×
Pulse oximetry continuous (94762) $26.89 $179.28 0.2×
R hrt coronary artery angio (93456) $3,225.58 $21,503.88 1.0×
R&l hrt art/ventricle angio (93461) $3,959.28 $26,395.20 1.2×
R&l hrt art/ventricle angio (93460) $4,605.57 $30,703.78 1.4×
Refill/maint, portable pump (96521) $6,331.38 $42,209.23 28.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $114.05 $760.32 2.9×
Right heart cath (93451) $1,439.86 $9,599.04 0.4×
Sleep study attended (95807) $461.05 $3,073.68 1.2×
Sleep study unattended (95806) $259.15 $1,727.68 1.1×
Slp evaloral pharyngeal swallow function (92610) $115.18 $767.88 1.4×
Spirometry (94010) $141.16 $941.02 0.6×
Spirometry with bronchodilator (94060) $255.56 $1,703.70 0.7×
Stress echocardiogram (93350) $1,815.22 $12,101.42 3.2×
Temp transcutaneous pacing (92953) $161.19 $1,074.60 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $52.53 $350.20 2.3×
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $44.32 $295.46 2.1×
Therapeutic prophylactic/dx injection subq/im (96372) $36.94 $246.24 0.5×
Tobacco use cessation intensive >10 minutes (99407) $15.71 $104.76 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $8.42 $56.16 0.2×
Treat swallowing dysfunction (92526) $29.65 $197.64 0.4×
Tte f-up or lmtd (93308) $77.92 $519.49 0.3×
Tte W/Doppler Complete - Tte Complete (93306) $1,140.97 $7,606.44 2.0×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $44.06 $293.76 0.6×
Ultrasound therapy ea 15 mins (97035) $67.23 $448.20 4.7×
Upr/l xtremity art 2 levels (93922) $276.53 $1,843.56 2.0×
Ventilator initial day (94002) $3,745.48 $24,969.88 5.8×
Ventilator subsequent day (94003) $393.50 $2,623.32 0.6×
Vital capacity total (94150) $37.10 $247.32 0.3×
Wound care non-selective (97602) $339.55 $2,263.68 1.6×